Chest
Heyde's Syndrome
Section snippets
CASE REPORT
A 68-year-old woman presented initially with acute congestive heart failure and was found on examination to have aortic stenosis and incompetence. Coronary angiography confirmed the diagnosis, and a gradient of 60 mm Hg across the calcified aortic valve was recorded. She had a six-year history of unexplained anemia (normocytic, normochronic) that had been extensively investigated on several occasions with hematologic studies, including bone marrow examination, fecal occult blood screening, and
DISCUSSION
This case report is a typical illustration of Heyde's syndrome, that of calcific aortic valve disease and anemia presumed to be secondary to occult gastrointestinal bleeding from vascular ectasias, and also shows that such lesions may occur in the upper gastrointestinal tract This uncommon site should therefore be considered if angiodysplasias of the colon, the usual site of such lesions,4 are not demonstrated. Indeed, a recent review of over 90 cases demonstrated angiodysplasias in the upper
ACKNOWLEDGMENT
We wish to thank Heather Motloch for her help in the preparation of this paper.
REFERENCES (5)
- et al.
Resolution of Heyde's syndrome of aortic stenosis and gastrointestinal bleeding after aortic valve replacement
Ann Thorac Surg
(1986) - et al.
The association of unexplained gastrointestinal bleeding with calcific aortic stenosis
Ann Thorac Surg
(1987)
Cited by (8)
Aortic Valve Replacement for Patients with Heyde Syndrome: A Literature Review
2021, Chinese Medical Sciences JournalHeyde's syndrome [5]
1992, Journal of Thoracic and Cardiovascular SurgeryIntestinal angiodysplasia and aortic valve stenosis: let's not close the book on this association
2009, European Journal of Cardio-thoracic SurgeryDisappearance of angiodysplasia following transcatheter aortic valve implantation in a patient with heyde’s syndrome: A case report and review of the literature
2020, Journal of Atherosclerosis and ThrombosisTreatment of Heyde's syndrome by aortic valve replacement
2011, Current Cardiology ReviewsHeyde's syndrome: A review
2004, Journal of Heart Valve Disease